Firearm Laws and Pediatric Mortality in the US

作者：Jeremy Samuel Faust, Ji Chen, Shriya Bhat, Onyekachi Otugo, Miranda Yaver, Benjamin Renton, Alexander Chen, Zhenqiu Lin, Harlan M. Krumholz · 发表于：Archives of Pediatrics and Adolescent Medicine · 年份：2025 · DOI：10.1001/jamapediatrics.2025.1363 · 被引用次数：8 · 研究领域：Gun Ownership and Violence Research、Autopsy Techniques and Outcomes、Injury Epidemiology and Prevention

Importance: Firearms are the leading cause of death in US children and adolescents, but little is known about whether the overall legal landscape was associated with excess mortality after a landmark US Supreme Court decision in 2010. Objective: To measure excess mortality due to firearms among US children aged 0 to 17 years after the McDonald v Chicago US Supreme Court decision (2010). Design, Setting, and Participants: An excess mortality analysis was conducted using the US Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research (WONDER) database before and after McDonald v Chicago, the landmark 2010 US Supreme Court decision on firearms regulation. States were divided into 3 groups based on legal actions taken before and since 2010, most permissive, permissive, and strict. Firearm mortality trends before (1999-2010) and after (2011-2023) were determined and compared across the 3 groups for all intents and by intent (homicide and suicide). Subgroup analysis by observed race and ethnicity was conducted. For each US state, pre-and post-McDonald v Chicago all-intent pediatric firearm mortality incident rates were compared. These data were analyzed January 2011 through December 2023. Exposure: The pre- and post-McDonald v Chicago legal landscape. Main Outcomes and Measures: Excess mortality during the post-McDonald v Chicago period. Results: During the post-McDonald v Chicago period (2011-2023), there were 6029 excess firearm deaths (inc...